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North Carolina rates for HCPCS 52317

Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; simple or small (less than 2.5 cm)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$659.49 / $4,319.84 / $8,823.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$336.49 / $881.15 / $1,745.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$511.28 / $1,154.46 / $2,598.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.22 / $1,064.96 / $2,108.27
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$336.49 / $881.15 / $2,049.28
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,211.38 / $1,211.38 / $2,180.55
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $1,539.50 / $2,428.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,526.00 / $7,659.00 / $10,502.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$824.31 / $1,282.26 / $2,437.02
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,665.68 / $1,665.68 / $12,000.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,201.92 / $7,579.40 / $7,579.40